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1508637802
IAN SCOTT COLEMAN
BOISE, ID
NPI
1508637802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
IAN SCOTT COLEMAN
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
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Mailing Address
IAN SCOTT COLEMAN
1276 W RIVER ST
BOISE, ID 83702-7066
Phone number: 208-338-4699
Copy
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